摘要
目的探讨风险护理在地塞米松治疗急性复发性胰腺炎患者中的应用效果及对患者消化功能的影响。方法选择2016年1月~2017年10月治疗的急性复发性胰腺炎患者60例作为对象,所有患者均给予地塞米松治疗,随机数字表分为对照组(n=30)和观察组(n=30)。对照组给予常规护理,观察组采用风险护理,护理后15 d对患者效果进行评估,治疗后对患者进行12个月随访,比较两组依从性、消化功能、不良事件及复发率。结果观察组护理后15 d饮食、吸烟、遵医用药、体育锻炼、按时睡眠及定期复查依从性,均高于对照组(P<0.05);观察组护理后15 d排气恢复、腹痛消失、血淀粉酶恢复、呼吸机撤离及平均住院时间,均短于对照组(P<0.05);两组随访期间压疮、下肢深静脉血栓、感染、呼吸衰竭及复发率比较,差异均无统计学意义(P>0.05)。结论将风险护理用于地塞米松治疗急性复发性胰腺炎患者中有助于提高患者治疗依从性,改善患者消化功能,降低不良反应及复发率,值得推广应用。
Objective To investigate the application effect of risk nursing in acute recurrent pancreatitis treated with dexamethasone and its effect on digestive function.Methods 60 patients with acute recurrent pancreatitis treated from January 2016 to October 2017 were enrolled.All patients were treated with dexamethasone.The patients were divided into control group(n=30)and observation group(n=30)according to random number table method.The control group received routine nursing,and the observation group was treated with risk nursing.The effect of the patients was evaluated after 15 days of treatment.After the treatment,the patients were followed up for 12 months,and the compliance,digestive function,adverse events and recurrence rate were compared between the two groups.Results The diet,smoking,compliance with medical drugs,physical exercise,on-time sleep and regular review compliance in the observation group were higher than those of the control group after 15 days of nursing(P<0.05).The exhaust recovery time,abdominal pain disappearance time,blood amylase recovery time,ventilator evacuation time,and average length of stay in the observation group were shorter than those of the control group(P<0.05).There were no significant differences in pressure ulcers,deep venous thrombosis,infection,respiratory failure and recurrence rate between the two groups during follow-up(P>0.05).Conclusion The use of risk nursing in acute recurrent pancreatitis treated with dexamethasone can improve the patient's treatment compliance,improve the patient's digestive function,reduce adverse reactions and recurrence rate,and it is worthy of popularization and application.
作者
洪娟娟
金翔
顾彬彬
HONG Juanjuan;JIN Xiang;GUBinbin(Department of Gastroenterology,Taizhou Hospital in Zhejiang Province,Taizhou317000,China)
出处
《中国现代医生》
2020年第1期177-180,共4页
China Modern Doctor
基金
浙江省医药卫生科技计划项目（2016KYB323）
关键词
风险护理
地塞米松
急性复发性胰腺炎
治疗依从性
消化功能
复发率
Risk nursing
Dexamethasone
Acute recurrent pancreatitis
Treatment compliance
Digestive function
Recurrence rate
